经房间隔途径成功经皮闭合心肌梗死后室间隔缺损：一例报告

Karki Monika, Bhattarai Pramod, Raval Yash, Blanchard Arnoux, Subramanian Kathir

Cardiovascular Disease, Broward Health Medical Center, Fort Lauderdale, USA.

Pulmonary Medicine, Howard University Hospital, Washington, USA.

Cureus. 2025 May 20;17(5):e84476. doi: 10.7759/cureus.84476. eCollection 2025 May.

Ventricular septal defect (VSD) following myocardial infarction (MI) is a rare but life-threatening complication associated with high morbidity and mortality. While surgical repair remains the standard of care, its high mortality risk has prompted the exploration of percutaneous alternatives, especially in patients with elevated surgical risk. This case report describes the successful percutaneous closure of a post-MI VSD via a trans-septal approach in an 80-year-old male, highlighting its feasibility, safety, and favorable clinical outcome in a high-risk patient.

心肌梗死后室间隔缺损（VSD）是一种罕见但危及生命的并发症，具有较高的发病率和死亡率。虽然手术修复仍是标准治疗方法，但其高死亡风险促使人们探索经皮替代方案，尤其是对于手术风险较高的患者。本病例报告描述了一名80岁男性通过经间隔途径成功经皮闭合心肌梗死后室间隔缺损，突出了其在高危患者中的可行性、安全性及良好的临床结果。